How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $32.36 | Professional | None | $29.51 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $14.79 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $5.89 | $6.46 | $6.46 |
BCBS South Carolina Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $218.78 | Facility | None | $75.86 | $128.82 | $218.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $33.11 | Professional | None | $16.98 | $19.05 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $31.62 | Professional | None | $12.88 | $12.88 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $12.88 Median $35.48 Typical High $91.20 | Facility | None | $12.88 | $35.48 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $36.31 | Professional | None | $15.85 | $20.89 | $36.31 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $61.66 | Professional | None | $30.90 | $40.74 | $61.66 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $15.85 Median $23.99 Typical High $30.90 | Professional | None | $15.85 | $23.99 | $30.90 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.94 Median $10.23 Typical High $22.91 | Professional | 51 · Multiple procedures | $7.94 | $10.23 | $22.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.24 Median $4.17 Typical High $9.12 | Professional | 80 · Assistant surgeon | $3.24 | $4.17 | $9.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.24 Median $2.88 Typical High $6.46 | Professional | 81 · Minimal assistant surgeon | $2.24 | $2.88 | $6.46 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.24 Median $2.88 Typical High $6.46 | Professional | 82 · Assistant surgeon, no resident | $2.24 | $2.88 | $6.46 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.24 Median $2.88 Typical High $6.46 | Professional | AS · PA/NP assist | $2.24 | $2.88 | $6.46 |
Where South Carolina sits
The same service costs 2.9 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 49th of 51
$23.99
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.